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Looking for an approved ICE document/template? They can be found in the Approved ICE Documents folder - click here for a list of available documents for each ICE team: APPROVED ICE DOCUMENTS.

ICE is a voluntary 501(c)3 organization that includes participation by and advice from accrediting and regulatory agencies. The goal of ICE work products is to offer ICE participating organizations standardized tools and best practices toward optimizing efficiencies to implement health industry requirements. ICE heeds feedback from accrediting and regulatory agency partners regarding ICE work products; however, ICE does not obtain official regulatory approval for its work products. As such, ICE work products are not to be considered exempt from any approval process required by regulatory agencies.


APPROVED ICE DOCUMENTS

 Click to open category AB 1324 Team  
 Click to open category Appeals and Grievances Improvement Team  
 Click to open category California SB260  
 Click to open category Claims  
 Click to open category Contracting & Compliance Team  
 Click to open category Credentialing Shared Audit Policy Team - Main / California  
 Click to open category Credentialing Shared Audit Policy Team - Main / Mid-Atlantic  
 Click to open category Credentialing Shared Audit Policy Team - Main / Northwest  
 Click to open category Cultural & Linguistic Services Team  
 Click to open category Cultural and Linguistics Provider Toolkit  
 Click to open category DMHC Access Regulations Team  
 Click to open category Health Risk Assessment (HRA) Team  
 Click to open category HIPAA  
 Click to open category Prescription Drugs Prior Auth Team (CA SB866)  
 Click to open category QI / UM Team - Main  
 Click to open category QI and UM Required Reports Team  
 Click to open category Risk Adjustment Data Acquisition & Reporting (RADAR)  
 Click to open category Site Visit Team  
 Click to open category UM Templates & Tools (Commercial UM LAP Templates for LAP Regulations Effective on and after 1/1/09)  
 Click to open category UM Templates & Tools (Commercial)  
 Click to close category UM Templates & Tools (Medi-Cal)  
     Click to open category Link to DHCS Documents
     Click to close category Miscellaneous
       File   Upload
  Title     Size   Date
 ICE Medi-Cal Denial Reason Matrix 0410   145 KB   5/5/2010
 ICE_UM_TAT_Medi-Cal_11-04   52 KB   11/19/2004
 Legal Services Offices for Assistance Medi-Cal   28 KB   5/13/2005
 Medi-Cal_NOA_-_Delay(1)   25 KB   8/2/2013
 Medi-Cal_NOA_-_Denial(1)   26 KB   8/2/2013
 Medi-Cal_NOA_-_Modify(1)   24 KB   8/2/2013
 Medi-Cal_NOA_-_Terminate(1)   26 KB   8/2/2013
 Medi-Cal_NOA_-_Your_Rights_Attachment._Knox_Keene   31 KB   8/2/2013
 Medi-Cal_NOA_-_Your_Rights_Attachment._Knox_Keene(3)   31 KB   8/2/2013
     Click to open category Notice of Action (NOA) Translated Templates - Arabic
     Click to open category Notice of Action (NOA) Translated Templates - Armenian
     Click to open category Notice of Action (NOA) Translated Templates - Chinese
     Click to open category Notice of Action (NOA) Translated Templates - English
     Click to open category Notice of Action (NOA) Translated Templates - Farsi
     Click to open category Notice of Action (NOA) Translated Templates - Hmong
     Click to open category Notice of Action (NOA) Translated Templates - Korean
     Click to open category Notice of Action (NOA) Translated Templates - Russian
     Click to open category Notice of Action (NOA) Translated Templates - Spanish
     Click to open category Notice of Action (NOA) Translated Templates - Vietnamese
 Click to open category UM Templates & Tools (Medi-Cal) - Health Plan-Specific Templates  
 Click to open category UM Templates & Tools (Medicare Advantage Templates for Marketing Guidelines)  
 Click to open category UM Templates & Tools (Medicare Advantage)  

  Adobe Acrobat File
  Microsoft Word File
  Microsoft Excel File
  Microsoft PowerPoint File
  Microsoft Word XML File
  Microsoft Excel XML File
  Microsoft PowerPoint XML File
  Zipped File
  Unknown File Type

Many Library documents are in Adobe Acrobat format. If you do not have Acrobat you may download it here.


To download a document, right-click the document title and select "Save Target As..." (or the equivalent). You may left-click a document to open it in your browser. Note: Opening a Microsoft Office document in your browser may trigger a known issue that causes a password prompt to appear for non-password protected documents. Information from Microsoft about how to resolve this issue on your computer is available here, here, and here.

   


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